Active NPI
Regency Long Beach LLC
Doing business as Golden Sands
- Assisted Living Facility
- Ocean Park, WA
National Provider Identifier
1639968290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- REGENCY LONG BEACH LLC
- Doing business as
- Golden Sands
- Practice address
- 21608 O LN
Ocean Park, WA 98640-3299 - Phone
- (360) 665-0190
- NPI assigned
- May 1, 2025
- Last updated
- May 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- M Bart Beddoe
- Title
- Manager
- Phone
- (425) 392-4066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
21608 O LN
Ocean Park, WA 98640-3299
Mailing address
3326 160TH Ave SE Ste 120
Bellevue, WA 98008-6418
Phone (425) 392-4066
Other names 1
- Golden Sands
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2196928 | Golden Sands at Klipsan Beach | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1639968290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3326 160TH AVE SE STE 120",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980086418",
"telephone_number": "425-392-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21608 O LN",
"city": "OCEAN PARK",
"state": "WA",
"postal_code": "986403299",
"telephone_number": "360-665-0190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENCY LONG BEACH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-01",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "BEDDOE",
"authorized_official_first_name": "M BART",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "425-392-4066"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden Sands",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ocean Park, WA
- Terri Miller, ARNP
- Pacific County Fire Protection District 1
- Peninsula Pharmacies Inc. (Ocean Park Pharmacy)
- Public Hospital District 3 of Pacific County (Ocean Beach Medical Group -Ocean Park)
- Real Talk Counseling, PLLC
- David Lester Rodriguez II, MA, LMHC
- Leo Taylor, DMD
- Zachery Carl Wilson, PHARMD
- Casandra Ilene Winkleman
- Rebecca Lovena Winters, HIS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.